NPI | 1467144832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351835) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14872300) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034277) | |
Enumeration Date | 2023-05-24 |
Last Update Date | 2024-09-10 |