NPI | 1972015527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308450) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F308450-1) |
Enumeration Date | 2017-11-03 |
Last Update Date | 2023-06-13 |