NPI | 1194266163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308448) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308448) |
163W00000X Registered Nurse (Licence: NY 526598) | |
Enumeration Date | 2017-03-10 |
Last Update Date | 2021-03-05 |