NPI | 1386936763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9265577) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9265577) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2024-11-04 |