NPI | 1659593432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 2916) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002916) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2013-08-01 |