| NPI | 1245853993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403158) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 682786) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2021-09-16 |