NPI | 1205673696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354203) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 588786) |
Enumeration Date | 2024-07-11 |
Last Update Date | 2024-09-27 |