| NPI | 1144594854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F402322-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 305913) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2025-07-31 |