| NPI | 1285932426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002341) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 630282) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401519-1) | |
| Enumeration Date | 2011-03-12 |
| Last Update Date | 2024-07-19 |