NPI | 1447799911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342965) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711492-1) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2019-10-18 |