NPI | 1881181626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 089611-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342836) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2023-09-21 |