| NPI | 1285865477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403649) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 406546) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2021-08-27 |