NPI | 1740700368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342629) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716670-1) |
Enumeration Date | 2017-06-24 |
Last Update Date | 2018-02-15 |