NPI | 1356450993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F 303787 - 1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303787) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2023-07-05 |