NPI | 1154446060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 333931) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 14116) |
363L00000X Nurse Practitioner (Licence: PA SP009924) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2014-05-06 |