NPI | 1649622853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016708) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 33340803) |
Enumeration Date | 2016-07-12 |
Last Update Date | 2022-09-23 |