NPI | 1205947900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300632) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300632) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-07-05 |