NPI | 1730675190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343747) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 646881) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2018-11-16 |