NPI | 1891315081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12776) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345682) |
Enumeration Date | 2020-04-17 |
Last Update Date | 2024-03-22 |