NPI | 1255738555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338732-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338732) |
Enumeration Date | 2014-12-02 |
Last Update Date | 2023-06-28 |