NPI | 1003418310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352750) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F08201248) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2024-10-21 |