| NPI | 1700968625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 44107) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 626) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-01-23 |