NPI | 1033576863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340277) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 340277) |
207N00000X Dermatology (Licence: NY 340277) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 340277) | |
207QS1201X Family Medicine, Sleep Medicine (Licence: NY 340277) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 340277) | |
Enumeration Date | 2016-01-25 |
Last Update Date | 2024-01-11 |