NPI | 1295215929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343530) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 664772) |
163WX0800X Registered Nurse, Orthopedic (Licence: NY 664772) | |
Enumeration Date | 2018-08-21 |
Last Update Date | 2025-05-12 |