| NPI | 1982102026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 342515) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 342515) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-06-29 |