| NPI | 1649998014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 350220) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-11-25 |