NPI | 1982902987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306174-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 597929-1) |
Enumeration Date | 2011-03-01 |
Last Update Date | 2012-09-27 |