NPI | 1295358836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346266) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NY 346266) |
Enumeration Date | 2020-05-18 |
Last Update Date | 2023-10-11 |