| NPI | 1144917790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f40488401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 98752) |
| 163W00000X Registered Nurse (Licence: NY 873348) | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |