| NPI | 1245811181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633310) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 338438) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |