NPI | 1144525148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F336544) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336544) |
Enumeration Date | 2011-01-21 |
Last Update Date | 2011-01-21 |