NPI | 1427529353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY 308807) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 308807) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NY f308807-1) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NY 308807) | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2023-05-08 |