NPI | 1528360708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003160) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E58495) |
Enumeration Date | 2010-11-22 |
Last Update Date | 2010-11-22 |