NPI | 1174771208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303064) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F30364-01) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3030064-2) | |
Enumeration Date | 2008-09-03 |
Last Update Date | 2022-04-29 |