NPI | 1144293440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334647-1) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 334647) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2023-03-21 |