| NPI | 1245301480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F330763) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2009-05-13 |