NPI | 1295902922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003247) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003247) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2012-10-02 |