| NPI | 1255444303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334707-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9290581) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9290581) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-03-25 |