| NPI | 1063948776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R259754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 382459) |
| 163W00000X Registered Nurse (Licence: MD R259754) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402194) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-05-30 |