NPI | 1871023598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 440052) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22140) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2020-01-08 |