NPI | 1225583214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 006676) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 6676) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2021-11-30 |