NPI | 1811535867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309442-01) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309442) |
Enumeration Date | 2019-12-19 |
Last Update Date | 2023-07-03 |