NPI | 1386891083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303544) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NJ00102700) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2018-04-11 |