| NPI | 1285902122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306310) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CT 004860) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421112) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405112) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2024-06-26 |