NPI | 1114539269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025407) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346354) |
Enumeration Date | 2020-08-20 |
Last Update Date | 2023-11-13 |