| NPI | 1215171608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335182-1) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2023-09-27 |