| NPI | 1184817215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402420) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY f334053-1) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-01-15 |