NPI | 1366961526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 341863) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 660206) |
207Q00000X Family Medicine (Licence: NY 341863) | |
363LF0000X Nurse Practitioner, Family (Licence: NY F341863) | |
Enumeration Date | 2017-09-19 |
Last Update Date | 2025-01-24 |