NPI | 1346598950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337552) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 0337552) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2021-03-18 |