NPI | 1760758577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342506-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 641075) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2022-12-29 |