NPI | 1225314867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403203) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 637019) |
Enumeration Date | 2011-10-27 |
Last Update Date | 2020-12-28 |