NPI | 1609157544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9246335) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9246335) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2016-04-08 |