NPI | 1295099281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306100) |
Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: NY 546464) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2024-05-06 |