| NPI | 1730813999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 350154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 719398) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-12-06 |