NPI | 1114157658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9245826) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9245826) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2009-10-12 |