NPI | 1245773316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348369) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174272) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2021-10-04 |