NPI | 1295196210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9242402) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP-9242402) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP-9242402) | |
Enumeration Date | 2016-03-18 |
Last Update Date | 2017-10-04 |