NPI | 1164614962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 3031681) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F3031681) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2015-01-23 |