NPI | 1528216934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3211912) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3211912) |
Enumeration Date | 2008-08-28 |
Last Update Date | 2020-04-28 |