| NPI | 1043325541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074959) |
| 163W00000X Registered Nurse (Licence: NY 5) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401243-1) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-07-09 |