| NPI | 1164482634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY P400947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F331894) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-10-20 |