NPI | 1245800069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309965) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 759013-1) |
Enumeration Date | 2021-06-25 |
Last Update Date | 2021-06-25 |