NPI | 1083808042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY F320071-1) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F320071-1) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2017-10-24 |