NPI | 1528502952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY F340521) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY F340521) |
363L00000X Nurse Practitioner (Licence: NY 340521) | |
Enumeration Date | 2016-12-04 |
Last Update Date | 2020-02-14 |