NPI | 1134859895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383392) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 383392) |
Enumeration Date | 2022-06-15 |
Last Update Date | 2023-07-22 |