NPI | 1467737163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305891-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305891) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2023-07-06 |