NPI | 1902283922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352257-01) |
Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: NY 692844) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2024-03-11 |