| NPI | 1013398106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404980) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 653751) |
| 363L00000X Nurse Practitioner (Licence: NY 404980) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-06-01 |