NPI | 1932791134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347256) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 347256) |
Enumeration Date | 2021-02-09 |
Last Update Date | 2023-07-03 |