| NPI | 1093365280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309402) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 309402) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-07-03 |