NPI | 1477320679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 737620-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F353448-01) |
363LF0000X Nurse Practitioner, Family (Licence: NY F353448-01) | |
Enumeration Date | 2023-12-07 |
Last Update Date | 2024-07-30 |