NPI | 1356083380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10727) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 135754) |
Enumeration Date | 2022-04-11 |
Last Update Date | 2022-07-11 |