NPI | 1063686061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9323073) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335486-1) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2012-03-06 |