| NPI | 1891361689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 432029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 432029) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-07-07 |