NPI | 1851942957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 345060) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345060) |
Enumeration Date | 2019-09-20 |
Last Update Date | 2023-07-03 |