| NPI | 1316221237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336788) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404090) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F336788) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2023-01-13 |