NPI | 1639277288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F334883) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00169800) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2009-06-05 |