NPI | 1114039401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334675) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 507811) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-11-14 |