NPI | 1629305602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302749) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 302749) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2021-02-19 |