| NPI | 1083472906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353798) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: NY 735811) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |