NPI | 1851714067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9184461) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ARNP9184461) |
Enumeration Date | 2014-01-23 |
Last Update Date | 2016-11-15 |