NPI | 1578879284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 4447) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CT E56543) |
Enumeration Date | 2010-08-19 |
Last Update Date | 2010-08-19 |