NPI | 1144731191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340988-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI 03633) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2023-06-15 |