| NPI | 1013232263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 467211) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2024-08-19 |