NPI | 1629460084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9325680) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9325680) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2017-05-10 |