NPI | 1619711132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354540) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 770813) |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-07-24 |