NPI | 1770184673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F30980201) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309802-01) |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-12-01 |