| NPI | 1356950588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 346189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346189) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-10-02 |