| NPI | 1013378827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 688705) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2023-06-19 |