NPI | 1245230960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1575192) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP15775192) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2012-05-18 |