NPI | 1770640641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 389982-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301576-1) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-07-08 |