NPI | 1427238286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9220800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9220800) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2017-04-10 |