| NPI | 1427416866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402080) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 715395) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN49396) | |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2024-08-07 |