| NPI | 1023123916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400829) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332331) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-06-20 |