NPI | 1922824622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15234) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CT 089346) |
Enumeration Date | 2024-11-26 |
Last Update Date | 2025-10-06 |