| NPI | 1245871797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403545-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711346) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 1496484) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2021-12-06 |