| NPI | 1356783476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R248177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2278393) |
| 163W00000X Registered Nurse (Licence: NY 684377) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401766) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-03-27 |