NPI | 1952292427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 853143) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F356331-01) |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-07-14 |