NPI | 1174593107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP2772732) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP2772732) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2015-03-18 |