| NPI | 1932634037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA11913500) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 308473) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308473) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-10-16 |