NPI | 1154562320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2961942) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2961942) |
Enumeration Date | 2009-03-17 |
Last Update Date | 2009-03-17 |