NPI | 1528044062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 002010) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002010) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2023-09-26 |