| NPI | 1306855911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F332659-1) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: NY 382148-1) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-01-17 |