NPI | 1205127156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305686) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 591667) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2021-09-28 |