NPI | 1497245955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308721) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 493591) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2018-12-18 |