NPI | 1174773121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9386799) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 681857) |
Enumeration Date | 2008-09-26 |
Last Update Date | 2021-08-03 |