| NPI | 1265803167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340123) |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2023-02-21 |