NPI | 1437281433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3134372) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 159181) |
363LF0000X Nurse Practitioner, Family (Licence: GA APRN159181) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2020-06-22 |