| NPI | 1265898803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 612704) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 612704) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2026-01-29 |