NPI | 1427230861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304659) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f304659-1) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2010-04-15 |