NPI | 1871923151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306483) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 617865) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2013-11-22 |