NPI | 1619310091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2838202) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2838202) |
Enumeration Date | 2013-04-16 |
Last Update Date | 2013-04-16 |