| NPI | 1396907598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401449-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 17674) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8368) | |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2022-01-19 |