NPI | 1386652030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 303380) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303380) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2016-04-19 |