NPI | 1629262639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305772) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 506599) |
Enumeration Date | 2007-09-03 |
Last Update Date | 2011-08-04 |