| NPI | 1194148601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403177) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 571990) |
| 363L00000X Nurse Practitioner (Licence: NY 341194) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2021-02-01 |