NPI | 1487153417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350877) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 709254-1) |
Enumeration Date | 2018-02-05 |
Last Update Date | 2023-03-15 |