NPI | 1023134459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F331139-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f3021350) |
363LF0000X Nurse Practitioner, Family (Licence: NY F300179-1) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2008-08-13 |