NPI | 1871138594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 771884) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 353232) |
Enumeration Date | 2019-11-18 |
Last Update Date | 2024-05-03 |