NPI | 1942799341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343221) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 647261) |
Enumeration Date | 2018-05-02 |
Last Update Date | 2019-01-07 |