| NPI | 1184198202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711203) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 344141) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11030838) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11030838) | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2024-09-17 |