NPI | 1548424526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 334370) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334370) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2017-08-28 |