NPI | 1679796197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 332048) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 332048) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2022-02-28 |