NPI | 1144691791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9482857) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307406) |
Enumeration Date | 2015-10-08 |
Last Update Date | 2018-07-03 |