NPI | 1184126104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F308592) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 664560) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2019-05-01 |