NPI | 1841927225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350008) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 350008) |
363LF0000X Nurse Practitioner, Family (Licence: SC 28690) | |
Enumeration Date | 2022-08-04 |
Last Update Date | 2024-06-05 |