NPI | 1750669222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SS0200X Clinical Nurse Specialist, School (Licence: CT 001863) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT R39973) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-11-02 |