| NPI | 1043566292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403109) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305984) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340836) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2024-01-25 |