NPI | 1336799899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 345036) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345036) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2021-09-21 |