NPI | 1265428973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9281840) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A092106) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2020-09-14 |