NPI | 1578968053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL Arnp9485060) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN179490) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2018-08-02 |