NPI | 1124011838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F304351) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NY 428636-1) |
363LP2300X Nurse Practitioner Primary Care (Licence: ID NP-647) | |
Enumeration Date | 2005-08-26 |
Last Update Date | 2016-07-14 |