| NPI | 1093528051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 907592-01) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407208) |
| 163W00000X Registered Nurse (Licence: MA RN10007435) | |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-10-13 |