NPI | 1689116592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346719) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 724616) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2023-05-04 |