NPI | 1255783650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017566) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN317415L) |
163W00000X Registered Nurse (Licence: NY 703810-1) | |
163W00000X Registered Nurse (Licence: NJ 26NR09053300) | |
363LF0000X Nurse Practitioner, Family (Licence: NY 341152) | |
Enumeration Date | 2016-07-08 |
Last Update Date | 2021-05-05 |