NPI | 1437271376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9382962) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 331871) |
363L00000X Nurse Practitioner (Licence: NY 489895) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2018-04-25 |