NPI | 1649813429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 008624) |
Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: MA 2313624) |
363L00000X Nurse Practitioner (Licence: CT 8624) | |
363L00000X Nurse Practitioner (Licence: MA RN2313624) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2313624) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8624) | |
Enumeration Date | 2019-10-23 |
Last Update Date | 2022-11-22 |