NPI | 1609859420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F302918) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302918-1) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2021-02-15 |