| NPI | 1396058426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 33337235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 542380-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6653) | |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2024-07-17 |