NPI | 1033698758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406856) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 747662) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2025-08-05 |