NPI | 1275522260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 334796-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303730) |
363LF0000X Nurse Practitioner, Family (Licence: NY 334796) | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2010-01-05 |