| NPI | 1306098249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402831) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 283777) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2021-10-06 |