NPI | 1326041419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP494212) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP494212) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2013-05-20 |