NPI | 1033592175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340247) |
Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: NY 6179451) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2017-06-27 |