| NPI | 1295399947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 500004117) |
| 163W00000X Registered Nurse (Licence: NY 845484) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2025-08-04 |