| NPI | 1235530395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339133-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404592) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 88502) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2024-04-05 |