NPI | 1871161059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 704175) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 432043) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2023-07-17 |