NPI | 1326469651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21057) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338404-1) |
Enumeration Date | 2014-01-06 |
Last Update Date | 2022-01-04 |