NPI | 1043788243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309019) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7913) |
Enumeration Date | 2018-11-06 |
Last Update Date | 2024-02-29 |