NPI | 1730498015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN 3411332) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3411332) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |