| NPI | 1285017236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 675414) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17833700) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2017-05-03 |