| NPI | 1356659957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F340194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 608008) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NY 340194) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2024-09-09 |