| NPI | 1174090583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 340957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340957) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-09-05 |