| NPI | 1356615447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403360-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 649732) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F342593-1) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2024-04-29 |