NPI | 1487058459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9168223) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9168223) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2019-05-09 |