NPI | 1134376643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305606-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 469156) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2013-11-08 |