NPI | 1215269741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 34679901) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 2917721) |
Enumeration Date | 2010-02-09 |
Last Update Date | 2021-02-01 |