NPI | 1538772165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY f309843-01) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY f309843) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-08-24 |