NPI | 1053717116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338668-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 620005) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2021-04-15 |