NPI | 1922849231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 13513) |
Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: CT 148763) |
Enumeration Date | 2024-06-03 |
Last Update Date | 2024-07-30 |