NPI | 1780081182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341155) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 19444) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2016-11-10 |