NPI | 1083900054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 305712) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY 30305712) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2019-08-09 |