NPI | 1407070139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004269) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3347011) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2010-09-29 |