NPI | 1366894321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 40 402093) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 694643) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2017-02-15 |