NPI | 1548886187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8901) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 8901) |
Enumeration Date | 2020-06-19 |
Last Update Date | 2024-02-28 |