NPI | 1437620200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 636838-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00877700) |
Enumeration Date | 2018-12-05 |
Last Update Date | 2022-06-21 |