| NPI | 1093146391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402533-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337867-1) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2023-06-11 |