| NPI | 1437577525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 683287-1) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-08-10 |