| NPI | 1821828492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 354940) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 747933) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-13 |