NPI | 1215172499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1185652) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP185652) |
Enumeration Date | 2008-12-02 |
Last Update Date | 2023-12-28 |