NPI | 1609093921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 000737) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 063114) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2013-03-15 |