| NPI | 1427462027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 566066-1) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2016-05-11 |