NPI | 1609192376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9235693) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2263210) |
Enumeration Date | 2010-04-20 |
Last Update Date | 2013-10-25 |