| NPI | 1215379755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 404715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 670619) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2023-02-24 |