NPI | 1295030898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9441202) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN212631) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2016-08-12 |