| NPI | 1255717708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 653219) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339964) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2024-05-03 |