| NPI | 1316032444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY f340353-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 340353) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-07-05 |