| NPI | 1770024515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY F340090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340090) |
| 207Q00000X Family Medicine (Licence: NY F340090) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-11-20 |