NPI | 1629693973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346407) |
Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: NY 445523) |
Enumeration Date | 2020-06-12 |
Last Update Date | 2023-10-30 |