| NPI | 1336477389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406266) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 307589) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2025-05-28 |