NPI | 1528618741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345064) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659107) |
Enumeration Date | 2019-09-19 |
Last Update Date | 2020-01-24 |