NPI | 1679526925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3309982) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ARNP3309982) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2011-09-28 |