NPI | 1568988145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 347573) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9456214) |
Enumeration Date | 2017-08-16 |
Last Update Date | 2021-06-04 |