| NPI | 1154934263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 774828) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 0678541) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-05-23 |