NPI | 1659067221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348449-01) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F348449-01) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NY F348449-01) | |
Enumeration Date | 2023-04-17 |
Last Update Date | 2023-04-17 |