NPI | 1699814715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 002056) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 2056) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2017-01-16 |