| NPI | 1750377479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY F331842) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F331842) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2024-08-14 |