NPI | 1295867984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-036855) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2855602) |
363L00000X Nurse Practitioner (Licence: FL ARNP2855602) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2016-09-15 |