NPI | 1316399538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341450-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 697252-1) |
Enumeration Date | 2016-07-12 |
Last Update Date | 2017-11-29 |