| NPI | 1356613574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY F349223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 625326) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN253453) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2023-12-06 |