| NPI | 1245345180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 304397) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304397) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 302827) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-07-05 |