| NPI | 1013012525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403464) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY pending) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-05-09 |