NPI | 1154212504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9511901) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 504028) |
363LF0000X Nurse Practitioner, Family (Licence: FL 11040844) | |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-07-14 |