NPI | 1538712013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL RN9347733) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL RN9347733) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2019-07-23 |