NPI | 1043544216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308255-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 604936-1) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2019-07-26 |