| NPI | 1285965251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 9834963) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F001373) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2018-03-17 |