NPI | 1730291634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL AN099388C) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN0993882) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2012-12-17 |