| NPI | 1881329647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 349848) |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2024-08-15 |