| NPI | 1073674321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 489115) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-08-25 |