NPI | 1073937413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350625) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674091-1) |
Enumeration Date | 2014-02-05 |
Last Update Date | 2022-10-26 |