NPI | 1770325516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 795975) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NR22643700) |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-12 |