NPI | 1306303243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340353-1) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 568006) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2020-02-13 |