| NPI | 1306201603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339225-1) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2022-12-12 |