| NPI | 1003148776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f404084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332068-1) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2022-09-08 |