NPI | 1023135936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 331534) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331534) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2018-09-15 |