NPI | 1487887378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 004154) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 4154) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2021-01-10 |