NPI | 1891242004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6695) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 110394) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2022-09-29 |