| NPI | 1205318631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 727621) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 432021) | |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2023-07-17 |