NPI | 1376700609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 4241) |
Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: CT 4241) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.004942) | |
Enumeration Date | 2008-05-22 |
Last Update Date | 2022-01-27 |