| NPI | 1265682611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307035) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406128-01) |
| 163W00000X Registered Nurse (Licence: NY 591903) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2024-12-20 |