NPI | 1558134528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311859) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 639544) |
Enumeration Date | 2023-11-01 |
Last Update Date | 2024-08-02 |