| NPI | 1245452119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333905) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 247897) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-12-30 |