NPI | 1093254229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342637-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717052-1) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2023-07-12 |