NPI | 1164619888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f330788-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 330788) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2023-03-10 |