NPI | 1922990969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 356414) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037490) |
Enumeration Date | 2025-07-15 |
Last Update Date | 2025-07-15 |