NPI | 1033692660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343664) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 642856) |
Enumeration Date | 2018-09-10 |
Last Update Date | 2021-11-19 |