NPI | 1609446301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 112192-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347849) |
363LF0000X Nurse Practitioner, Family (Licence: NH 112192-23) | |
Enumeration Date | 2021-06-25 |
Last Update Date | 2024-11-01 |