| NPI | 1013649540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349785) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 349785) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-11-02 |