NPI | 1538422506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306011) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421073) |
Enumeration Date | 2012-06-24 |
Last Update Date | 2012-06-24 |