NPI | 1831406909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305561) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 605913) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2015-09-23 |