NPI | 1023353661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 342070) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 665780) |
363LF0000X Nurse Practitioner, Family (Licence: NY 342070) | |
Enumeration Date | 2012-12-09 |
Last Update Date | 2023-06-29 |