| NPI | 1528764503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 351247) |
| Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NY 351247) |
| 363L00000X Nurse Practitioner (Licence: MA RN2318225) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2318225) | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-05-04 |