| NPI | 1174848451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 508571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339198-1) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2014-10-06 |