NPI | 1598065245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004493) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 004493) |
Enumeration Date | 2010-10-28 |
Last Update Date | 2022-01-05 |