NPI | 1902135080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335441) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 545662) |
Enumeration Date | 2009-12-18 |
Last Update Date | 2022-08-08 |