| NPI | 1033576863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340277) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 340277) |
| 207N00000X Dermatology (Licence: NY 340277) | |
| 207Q00000X Family Medicine (Licence: NY 340277) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: NY 340277) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 340277) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 340277) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-12-12 |