NPI | 1962932533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 3426211) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 722617) |
163W00000X Registered Nurse (Licence: NY 7226171) | |
163W00000X Registered Nurse (Licence: NY 722617-1) | |
Enumeration Date | 2017-06-15 |
Last Update Date | 2018-07-30 |