NPI | 1720366305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303344-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 435241-1) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2011-07-29 |