| NPI | 1992347132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350346) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR 122319) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 122319) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-08-08 |