| NPI | 1912432113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 317452) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 317452) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-07-22 |