NPI | 1164494944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11007578) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 83192) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2021-09-15 |