NPI | 1316032444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY f340353-1) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 340353) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2023-07-05 |