| NPI | 1215681846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15046000) |
| 363L00000X Nurse Practitioner (Licence: CT 12908) | |
| 363L00000X Nurse Practitioner (Licence: MA RN10012974) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348753) | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2025-01-28 |