| NPI | 1205290418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405159-01) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001734) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-10-03 |