NPI | 1114309283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405705) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307288-1) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2024-08-16 |