NPI | 1972037786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 347056) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-90258) |
163W00000X Registered Nurse (Licence: NY 712855) | |
Enumeration Date | 2017-04-18 |
Last Update Date | 2021-07-05 |