NPI | 1740022326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 352187) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 747656) |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-12 |