NPI | 1588322614 |
---|---|
Former Name | ANNA LARKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F310636-01) |
Additional Taxonomies | 208VP0000X (Licence: NY F310636-01) |
Enumeration Date | 2021-12-06 |
Last Update Date | 2025-04-15 |