| NPI | 1316263882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402334) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 596274) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338327) | |
| 163W00000X Registered Nurse (Licence: PA RN591223) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP018544) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP014029) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2021-04-07 |