NPI | 1386795334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013286) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F333069) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2015-09-11 |