| NPI | 1588322614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F310636-01) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY F310636-01) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-09-08 |