NPI | 1780023093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 338086) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10213) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2021-12-06 |