| NPI | 1215210018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28198528A) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2021-12-14 |