| NPI | 1114948932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: NY MFFVCG8) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 334938) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-05-01 |