NPI | 1407327687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308369) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F308369-1) |
Enumeration Date | 2018-12-16 |
Last Update Date | 2021-06-28 |