| NPI | 1285368654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 939119) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1062153) | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-07-03 |