NPI | 1457369225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F332638-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 332638) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2023-07-05 |