NPI | 1770967473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340456) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687158-1) |
163W00000X Registered Nurse (Licence: NJ 26NR17699800) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2022-11-17 |