| NPI | 1417118795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R250829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 533059-1) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402509) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2023-03-09 |