NPI | 1316353790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339350) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 671884-1) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2021-08-13 |