NPI | 1568532984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2153202) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2153202) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2016-11-15 |