| NPI | 1235239179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405676) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 850161) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MS R850161) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-06-18 |