NPI | 1811399066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6327) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 006327) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2018-11-08 |