| NPI | 1033481429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 603972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340221) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406233) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2025-02-04 |