NPI | 1083726350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3191932) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP3191932) |
363LS0200X Nurse Practitioner, School (Licence: FL ARNP3191932) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2021-08-20 |