| NPI | 1255589909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 552060) |
| 363L00000X Nurse Practitioner (Licence: NY F401141-1) | |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2013-12-21 |