NPI | 1275883639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2628432) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2628432) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2024-06-12 |