NPI | 1649823469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344705-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344705) |
Enumeration Date | 2019-07-21 |
Last Update Date | 2023-12-15 |