| NPI | 1083808042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY F320071-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F320071-1) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2017-10-24 |