NPI | 1952783391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341783) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00696) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2017-11-08 |