NPI | 1497419246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348406-01) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F348406-01) |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-30 |