NPI | 1184663429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304102) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F340595) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2014-02-19 |