NPI | 1366419459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003178) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003178) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2017-05-18 |