NPI | 1831512466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F310846) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 642238) |
Enumeration Date | 2014-02-03 |
Last Update Date | 2022-08-31 |