NPI | 1992529739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312143) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 757135) |
Enumeration Date | 2024-11-08 |
Last Update Date | 2024-12-16 |