| NPI | 1275885683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335199) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2019-11-13 |