NPI | 1174868608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 337688) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337688) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2021-02-02 |