NPI | 1013194596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9242519) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9242519) |
163W00000X Registered Nurse (Licence: FL RN9242519) | |
Enumeration Date | 2008-01-27 |
Last Update Date | 2022-09-15 |