NPI | 1801897202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334258-1) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381306-1) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2010-07-08 |