NPI | 1639161466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2632382) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 2632382) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2014-08-12 |