| NPI | 1285154583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 720423-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402418-1) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2026-05-29 |