NPI | 1053634139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342650) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 693365) |
Enumeration Date | 2010-03-03 |
Last Update Date | 2024-05-31 |