| NPI | 1134656119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY F405901-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308184) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01017900) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-06-06 |