| NPI | 1154420230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400816) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 321851) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301483) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-10-24 |