| NPI | 1124216999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4000571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 282435) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NY 023050602ANCC) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY 021538901ANCC) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2010-03-04 |