NPI | 1649281544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 002962) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002962) |
363LC1500X Nurse Practitioner, Community Health (Licence: CT 002962) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2017-10-30 |