NPI | 1992353395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345834) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2322419) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2024-09-11 |