NPI | 1205208436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9287892) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9287892) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2016-07-06 |