| NPI | 1356102453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 871507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 871507) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-05-14 |