NPI | 1285738575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT R27369 RN) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 000060 APRN) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2007-07-08 |