NPI | 1346283470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3430) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f334040) |
363LF0000X Nurse Practitioner, Family (Licence: NC 0050-01798) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2011-08-23 |