NPI | 1710395702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305936) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340839) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2014-07-23 |