NPI | 1285787515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3272132) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3272132) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2015-08-21 |