NPI | 1023661188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 405257) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344519) |
Enumeration Date | 2019-07-18 |
Last Update Date | 2023-12-06 |