| NPI | 1437436433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402557) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9227599) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343881) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9227599) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2021-11-19 |