NPI | 1437433968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN2593192) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2593192) |
Enumeration Date | 2011-10-03 |
Last Update Date | 2019-07-24 |