NPI | 1093924425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000721) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F332500) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2023-03-04 |