NPI | 1619790789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311979) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F311979) |
Enumeration Date | 2024-11-06 |
Last Update Date | 2024-12-03 |