| NPI | 1275589129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 473215) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 334109) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2025-05-29 |