NPI | 1467061499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F350860-01) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL APRN11008347) |
363LF0000X Nurse Practitioner, Family (Licence: NY 350860) | |
Enumeration Date | 2020-07-27 |
Last Update Date | 2024-02-12 |