NPI | 1578113262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354041) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 345041) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2023-07-03 |