NPI | 1407058043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F350658-01) |
Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel (Licence: NY 477645-1) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2024-09-17 |