| NPI | 1154620912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 626867-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN302062) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4033941) | |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2023-03-13 |