NPI | 1013355189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337959) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 602263) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2015-03-03 |