NPI | 1427620913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348191) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 348191) |
363LF0000X Nurse Practitioner, Family (Licence: NY 740635) | |
Enumeration Date | 2021-07-14 |
Last Update Date | 2024-07-12 |