NPI | 1275242851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350545-01) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 755044) |
Enumeration Date | 2022-11-22 |
Last Update Date | 2022-11-22 |