| NPI | 1588281182 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 351384) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7446) | 
| Enumeration Date | 2020-06-29 | 
| Last Update Date | 2025-01-28 |