| NPI | 1134765118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403525) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 769345) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-08-22 |