| NPI | 1154767499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402998) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 557056) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12462) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2025-01-23 |