NPI | 1114900230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F302325) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302325) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2021-01-12 |