NPI | 1255997730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 310774) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 310774) |
Enumeration Date | 2019-05-10 |
Last Update Date | 2023-07-24 |