NPI | 1780068767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340310) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686926-1) |
Enumeration Date | 2015-07-19 |
Last Update Date | 2019-09-24 |