NPI | 1427452846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346434) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 688407) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2024-02-29 |