NPI | 1649729559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 6777) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 91474) |
Enumeration Date | 2016-10-04 |
Last Update Date | 2017-01-30 |