NPI | 1386365013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10942) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 10942) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-10-05 |