| NPI | 1023302502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4001) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY F40255301) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F3358321) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-02-15 |