| NPI | 1013470350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 690234) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2024-03-06 |