NPI | 1023626991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309655-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309655) |
Enumeration Date | 2020-07-16 |
Last Update Date | 2023-07-03 |