| NPI | 1235504606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 693350) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 345190) | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-07-03 |