| NPI | 1225758873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 12771965-3102) |
| 163W00000X Registered Nurse (Licence: NY 803475) | |
| 163W00000X Registered Nurse (Licence: RI RN73282) | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-02-20 |