| NPI | 1861085334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 431938) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 431938) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431938) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 431938) | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |