NPI | 1073631610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F304150) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 457603) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2010-10-08 |