NPI | 1144641556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3144642) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN3144642) |
Enumeration Date | 2014-01-02 |
Last Update Date | 2019-09-12 |