NPI | 1417017062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NN00011000) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F302804) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |