NPI | 1306377254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341131) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F341131) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2018-11-01 |