| NPI | 1194304055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 677526) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 403493) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-04-21 |