NPI | 1558944132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F34759001) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC RN1062040) |
Enumeration Date | 2021-05-03 |
Last Update Date | 2023-12-28 |