NPI | 1831473297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339475) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 590131) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2015-02-26 |