NPI | 1508195132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F406076) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 621922) |
Enumeration Date | 2009-12-10 |
Last Update Date | 2024-07-09 |