| NPI | 1164497236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302723) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY F302723) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-09-19 |