NPI | 1871223354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 349774) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 649121) |
Enumeration Date | 2022-06-16 |
Last Update Date | 2022-06-28 |