NPI | 1477809721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337289-1) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 337289) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2023-07-07 |