NPI | 1922356617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005101) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005101) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 005101) | |
Enumeration Date | 2012-08-28 |
Last Update Date | 2016-03-16 |