NPI | 1881438372 |
---|---|
Former Name | ABBEY DEGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354753) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 786733) |
Enumeration Date | 2024-06-20 |
Last Update Date | 2024-11-11 |