NPI | 1538551700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352883-01) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 692462) |
Enumeration Date | 2015-02-25 |
Last Update Date | 2024-09-19 |