| NPI | 1164574737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/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 |