NPI | 1326157272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1835052) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 183505C) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2008-04-28 |