NPI | 1699429332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311802) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 825172) |
207RG0100X Internal Medicine, Gastroenterology (Licence: NY 311802) | |
Enumeration Date | 2022-02-11 |
Last Update Date | 2025-09-11 |