NPI | 1851525349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334336) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: 334336) |
Enumeration Date | 2009-05-12 |
Last Update Date | 2009-05-12 |