NPI | 1518643154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12270) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 162523) |
Enumeration Date | 2023-06-27 |
Last Update Date | 2023-08-28 |