NPI | 1528271681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F330116) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 000083) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2283951) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2013-06-16 |