| NPI | 1215647334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405996) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 8590106) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2024-10-09 |