NPI | 1447349980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f334009) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f301235) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2009-06-06 |