NPI | 1659517753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R183594) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33335309) |
Enumeration Date | 2008-12-20 |
Last Update Date | 2013-01-25 |