| NPI | 1326685173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403750) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 578345) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2022-08-09 |