NPI | 1457912891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 309183) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309183) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2023-07-03 |