NPI | 1013041714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9293363) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 305688) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2014-11-04 |