NPI | 1164832291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9249879) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9249879) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9249879) | |
363LC1500X Nurse Practitioner, Community Health (Licence: FL 9249879) | |
Enumeration Date | 2014-04-29 |
Last Update Date | 2015-03-05 |