| NPI | 1104616929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 407916) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY N17402) |
| 163W00000X Registered Nurse (Licence: WI 1116011-30) | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2026-03-13 |