NPI | 1619495942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f3421381) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY f342138-1) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2017-09-22 |