| NPI | 1083268825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F344177) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY F344177) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-04-07 |