NPI | 1447549894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F345634) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 647513) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2020-03-25 |