| NPI | 1427779651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403707-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 679908) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403707) | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |