| NPI | 1336426485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402050) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 646050) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.cnp.019751) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2022-07-04 |