NPI | 1821475724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9350113) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL ARNP9350113) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2024-04-25 |