NPI | 1710280136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 004582) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 77555) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2015-08-17 |