NPI | 1265625909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F335764) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003662) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2011-07-22 |