| NPI | 1376908442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340203) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 340203) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2023-08-11 |