| NPI | 1174691307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY F301501) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 301501) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-07-05 |