NPI | 1922327725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 288206) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME123341) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY 288206) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-05-19 |
Last Update Date | 2023-07-17 |