| NPI | 1912420886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 315419) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 315419) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2023-07-17 |