NPI | 1427795491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0137224) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F349931) |
Enumeration Date | 2022-05-19 |
Last Update Date | 2024-08-12 |