NPI | 1427387646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9181461) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL arnp9181461) |
Enumeration Date | 2009-12-17 |
Last Update Date | 2020-05-12 |