NPI | 1831268523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F4000881) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 203396) |
363L00000X Nurse Practitioner (Licence: NY 265410) | |
Enumeration Date | 2006-11-07 |
Last Update Date | 2015-03-04 |