| NPI | 1235791989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR20051400) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-08-19 |