| NPI | 1417617952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 708336) |
| Enumeration Date | 2021-12-24 |
| Last Update Date | 2022-07-25 |