NPI | 1245544832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336189) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F336189-1) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2019-08-26 |