| NPI | 1023667243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405339-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341902-01) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2025-03-19 |