NPI | 1205345238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7343) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 106288) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2023-08-08 |