NPI | 1417143397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F333673-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00145700) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2008-11-24 |