| NPI | 1073583837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9276826) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F333935) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401127) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-05-20 |