NPI | 1497946354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9234375) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14526) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2009-11-04 |