NPI | 1265682611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 307035) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 591903) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2015-05-08 |