NPI | 1346572385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9199206) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9199206) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2021-06-08 |