NPI | 1285036152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340246) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687127) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2338100) | |
Enumeration Date | 2014-09-22 |
Last Update Date | 2024-02-05 |