NPI | 1346757648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 676619) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 342614) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2023-06-29 |