NPI | 1417471491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349105) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7149219) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-07-21 |