| NPI | 1154335685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 401291) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F304206-1) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 304205) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-09-12 |