NPI | 1083967616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309651) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577104) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2023-02-01 |