| NPI | 1023755212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404453) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 173655) |
| 163W00000X Registered Nurse (Licence: NY 851511) | |
| 163W00000X Registered Nurse (Licence: CO RN.1690038) | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2023-08-24 |