NPI | 1699875229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY f332044-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9390381) |
Enumeration Date | 2006-09-24 |
Last Update Date | 2021-12-07 |