| NPI | 1184054991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9526090) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11043250) | |
| 163W00000X Registered Nurse (Licence: NY 679498) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2025-12-12 |