| NPI | 1154398915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4006861) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F4203231) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2007-07-08 |