| NPI | 1265209514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406688-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 736974-01) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2025-02-11 |