| NPI | 1134732381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F346322-01) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 117632-23) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408030) | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2026-07-15 |