NPI | 1730490251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F356131) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 5935131) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2025-05-23 |