NPI | 1750377479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY F331842) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F331842) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2024-08-14 |