NPI | 1366287385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R254549) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347117) |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-07-01 |