NPI | 1689058455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 2299) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686943) |
363LF0000X Nurse Practitioner, Family (Licence: NY F340316) | |
Enumeration Date | 2015-07-11 |
Last Update Date | 2021-06-09 |