| NPI | 1528095148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334895) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 334895) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00305600) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-06-29 |