NPI | 1376999011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 006527) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302246-1) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2020-10-06 |