NPI | 1770090789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7420) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 106481) |
Enumeration Date | 2017-12-29 |
Last Update Date | 2022-04-07 |