NPI | 1457670457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430513) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 430513) |
Enumeration Date | 2010-06-01 |
Last Update Date | 2023-07-06 |