NPI | 1740377050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 363LF0000X) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 000613) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2009-02-11 |