NPI | 1457627903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9197141) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9197141) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2015-03-27 |