| NPI | 1841927225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 350008) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 350008) |
| 363LF0000X Nurse Practitioner Family (Licence: SC 28690) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-06-05 |