NPI | 1609907898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3105132) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3105132) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2013-02-06 |