NPI | 1295758456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169036) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1337792) |
364S00000X Clinical Nurse Specialist (Licence: FL ARNP 1337792) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2010-10-22 |