NPI | 1083224968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351692) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11007705) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2023-09-28 |