NPI | 1326409814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340236) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 637556) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2016-03-11 |