NPI | 1346905486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 346939) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 712876) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2022-01-11 |