NPI | 1528399029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336152-1) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019109) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2024-08-14 |