| NPI | 1255997730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 310774) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 310774) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-11-25 |