NPI | 1477333052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 353923) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 715788) |
Enumeration Date | 2023-10-02 |
Last Update Date | 2024-04-04 |