NPI | 1568696490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346526) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 516527) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2024-05-19 |