NPI | 1942829411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F346175-01) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346175) |
163WN0800X Registered Nurse, Neuroscience (Licence: NY 673328) | |
Enumeration Date | 2020-04-14 |
Last Update Date | 2023-09-28 |