| NPI | 1629884077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F353498-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 752634-01) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |