| NPI | 1386402329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406653) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311497-01) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-12-09 |