NPI | 1841602885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 355544) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 316392) |
Enumeration Date | 2014-05-26 |
Last Update Date | 2025-03-07 |