NPI | 1558413898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3335421) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 300049) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2023-07-03 |