NPI | 1558797423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 5526) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5529) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2014-09-17 |