NPI | 1790518306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355290) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 783609) |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-10-05 |