| NPI | 1225795875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 349906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 688167) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NY 349906) | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2023-07-22 |