NPI | 1609855162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 001667) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 169316) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2009-06-04 |