| NPI | 1710640347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 348086) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-07-17 |