NPI | 1982040663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9354194) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9354194) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2017-08-15 |