NPI | 1144947094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350502) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17664800) |
163W00000X Registered Nurse (Licence: NY 700665) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01388300) | |
Enumeration Date | 2022-10-21 |
Last Update Date | 2024-08-18 |