NPI | 1134340342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1266122) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ARNP1266122) |
363L00000X Nurse Practitioner (Licence: FL ARNP1266122) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2021-01-11 |