NPI | 1396282539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346855) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 346855) |
163W00000X Registered Nurse (Licence: NY 794963) | |
Enumeration Date | 2017-01-26 |
Last Update Date | 2023-07-17 |