NPI | 1710421813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346550) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704729) |
363LF0000X Nurse Practitioner, Family (Licence: NY 704729) | |
Enumeration Date | 2016-12-07 |
Last Update Date | 2021-05-10 |