NPI | 1891366332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310275) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9790) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2022-01-21 |