NPI | 1255586046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341818) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 277056) |
Enumeration Date | 2008-11-21 |
Last Update Date | 2022-07-21 |