| NPI | 1568138394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310379) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-12-27 |