NPI | 1407208408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341438) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701683) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2017-02-21 |