NPI | 1003872938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP1609232) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP160923Z) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2016-05-27 |