NPI | 1457463473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347717) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432033) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-09-25 |