NPI | 1770929937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346557) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 604542) |
Enumeration Date | 2013-05-15 |
Last Update Date | 2024-06-19 |