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 |