NPI | 1255061420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349676) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f349676) |
Enumeration Date | 2022-06-12 |
Last Update Date | 2023-08-23 |