NPI | 1588046239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009491) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F307231) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2020-04-08 |