NPI | 1154947307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NY 320095) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 320095) |
Enumeration Date | 2020-06-24 |
Last Update Date | 2024-08-13 |