| NPI | 1710612544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 310782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 310782) |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2023-07-24 |