NPI | 1063418507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP007041B) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F3344401) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2009-07-20 |