| NPI | 1043829641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346254) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 346254) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2024-11-05 |