NPI | 1033295100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312296) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5002050) |
363L00000X Nurse Practitioner (Licence: NY 312296) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015712) | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2025-06-16 |