NPI | 1033588462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345881) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 2015011090) |
163WE0003X Registered Nurse, Emergency (Licence: TN 177903) | |
Enumeration Date | 2015-09-15 |
Last Update Date | 2024-05-22 |