NPI | 1669776951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 347433) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 018663) |
163W00000X Registered Nurse (Licence: NY 713661) | |
Enumeration Date | 2011-01-01 |
Last Update Date | 2022-09-12 |