NPI | 1902279417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340029) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 340029) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F340029) | |
Enumeration Date | 2015-11-05 |
Last Update Date | 2022-01-31 |