| NPI | 1215952320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402894) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420483) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-02-10 |