| NPI | 1205300597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405569-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140041) |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2024-04-16 |