| NPI | 1164972584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403710) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132048) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2022-11-28 |