NPI | 1497788467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1326002) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL ARNP1326002) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2015-08-28 |