| NPI | 1114520152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346231) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 2020114727) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2021-06-01 |