NPI | 1659415115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9173151) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9173151) |
Enumeration Date | 2007-02-17 |
Last Update Date | 2023-09-25 |