NPI | 1861091324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 310040) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310040-01) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310040) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NY 310040) | |
Enumeration Date | 2020-10-25 |
Last Update Date | 2022-05-02 |