| NPI | 1396762837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20126) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400475-1) |
| 363L00000X Nurse Practitioner (Licence: SC 20126) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-06-22 |