| NPI | 1083641203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402968) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000657) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-06-10 |