NPI | 1992313811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346157) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 346157) |
Enumeration Date | 2020-07-16 |
Last Update Date | 2023-07-03 |