| NPI | 1235848185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F407468-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9431997) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11041996) | |
| 163W00000X Registered Nurse (Licence: NY 720217) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-10-05 |