NPI | 1215224217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F305703) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305703) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2020-12-16 |