NPI | 1407346323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7550) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 7550) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 7550) | |
Enumeration Date | 2018-05-16 |
Last Update Date | 2018-05-16 |