| NPI | 1972987121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307639) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 307639) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-08-11 |