NPI | 1588385215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349886) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 349886) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-05-02 |