NPI | 1437379484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9251755) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL RN9251755) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2018-03-17 |