| NPI | 1548873870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346517) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 346517) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-07-03 |