NPI | 1992732770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334272) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN171398NP) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY 334272) | |
Enumeration Date | 2006-06-27 |
Last Update Date | 2022-12-09 |