NPI | 1093947335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9438360) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331850-1) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2016-10-19 |