NPI | 1518954593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1932322) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN1932322) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2018-06-27 |