| NPI | 1326931429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 771180) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 771180) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |