| NPI | 1326686676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711677) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11008956) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2025-09-11 |