NPI | 1881186120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F308344) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN03871) |
Enumeration Date | 2018-06-02 |
Last Update Date | 2024-01-10 |