NPI | 1366465064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP 1565422) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 1565422) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 1565422) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-07-08 |