NPI | 1487956140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305475-1) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340781-1) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2011-04-27 |