| NPI | 1114368370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 643272-1) |
| 163W00000X Registered Nurse (Licence: NY 643272) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2014-04-18 |