| NPI | 1801647417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 354659) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 620157) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-12-19 |