NPI | 1942594833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170844) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 363763) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2014-11-25 |