NPI | 1013466184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346779-01) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: NY 2268l001) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2023-05-26 |