NPI | 1265459879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 3301592) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP 3301592) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2016-02-15 |