| NPI | 1326308776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402781) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305236-1) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2023-07-10 |