NPI | 1275867301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 4206) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2262902) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2018-03-29 |