NPI | 1285038026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344758) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 633121) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2019-12-16 |