NPI | 1164574737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400666) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300221) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2015-03-31 |