NPI | 1972987519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340346) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686615-1) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2016-03-01 |