NPI | 1184321150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350731) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 11602) |
163W00000X Registered Nurse (Licence: OH 445222) | |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-02-11 |