NPI | 1861574311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 332895) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 446102-1) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-03-07 |