NPI | 1720487051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339046) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 649645) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2014-08-22 |