NPI | 1821356445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349444) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 648706) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2024-01-29 |