NPI | 1578029252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 344081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344081) |
Enumeration Date | 2019-02-18 |
Last Update Date | 2024-05-10 |