NPI | 1346243987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301139) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3011391) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2014-04-07 |