NPI | 1174813620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 332320) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 489349) |
Enumeration Date | 2011-04-17 |
Last Update Date | 2019-10-21 |