NPI | 1841579315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348486) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 627453) |
363L00000X Nurse Practitioner (Licence: NY 348486) | |
Enumeration Date | 2011-08-15 |
Last Update Date | 2025-02-05 |