NPI | 1346435625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NY F320073) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF18168) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2011-03-08 |