| NPI | 1386005312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 339744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6844) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 339744) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2022-05-24 |