| NPI | 1033994314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407307) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NY 873946-01) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2025-09-11 |