NPI | 1841556016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 5705) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 117537) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2017-12-05 |