NPI | 1225169121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3309701) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN08959300) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2018-03-17 |