| NPI | 1225399264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630216) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-04-06 |