NPI | 1316509383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F344644) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 344644) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2021-04-12 |