| NPI | 1558551440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY f340662-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 340662) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2023-07-05 |