NPI | 1043295090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 2826532) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2826532) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2014-07-22 |