| NPI | 1003416652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F407427-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346749) |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2026-02-06 |