NPI | 1124047642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 333701) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 333701) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2022-06-01 |