NPI | 1821718610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349877) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349877) |
Enumeration Date | 2022-08-31 |
Last Update Date | 2024-02-06 |