NPI | 1568949428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: NY 678177) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346966) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2021-10-13 |