| NPI | 1801428727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 727645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346491) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2023-07-03 |