NPI | 1306496005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 8381) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8381) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 8381) | |
Enumeration Date | 2019-09-14 |
Last Update Date | 2020-08-21 |