NPI | 1558965962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311069-01) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311069) |
163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: NY 521343) | |
Enumeration Date | 2020-11-25 |
Last Update Date | 2023-11-19 |