| NPI | 1871875518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F342299-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 342299) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2023-07-17 |