NPI | 1063999738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343439) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9356739) |
Enumeration Date | 2018-07-25 |
Last Update Date | 2024-07-18 |