NPI | 1609577618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310873-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F310873-01) |
Enumeration Date | 2023-03-15 |
Last Update Date | 2025-05-21 |