NPI | 1912568551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 745109) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2024-01-05 |