NPI | 1093758245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304844) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 3280222) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2016-02-09 |