| NPI | 1831550268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 345101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345101) |
| 163W00000X Registered Nurse (Licence: NY 711961) | |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2023-06-30 |