NPI | 1649621905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 307769) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 307769) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-02-08 |