NPI | 1700548492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015198) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F310292) |
Enumeration Date | 2021-10-10 |
Last Update Date | 2023-07-26 |