NPI | 1154380921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000840) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL 11000840) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2019-10-07 |