NPI | 1144748336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f341439-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f341239-1) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2023-09-20 |