NPI | 1427141365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 003466) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CT 003466) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2014-05-14 |