NPI | 1396035382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 4637) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 4637) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2017-05-03 |