NPI | 1184845661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F300544-1) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F381179-1) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |