NPI | 1770242489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349022) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349022) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-12-09 |
Last Update Date | 2023-10-04 |