NPI | 1891053831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004349) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN72796) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004349) | |
363LF0000X Nurse Practitioner, Family (Licence: FL 1100439) | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2020-10-31 |