NPI | 1881993400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346574) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 604232-1) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2022-01-09 |