| NPI | 1255585295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 592824) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338663) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2024-04-18 |