NPI | 1134415755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 605899-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345130) |
Enumeration Date | 2011-06-22 |
Last Update Date | 2023-02-06 |