NPI | 1093952608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F334723-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334723) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2016-11-30 |