| NPI | 1215436886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342818) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2025-03-26 |