NPI | 1477975225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9258754) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9258754) |
363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP137190) | |
Enumeration Date | 2014-01-14 |
Last Update Date | 2018-10-24 |