| NPI | 1053245902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312984) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 207RG0100X) |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-08-21 |