| NPI | 1437854825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404318-01) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY A510645-01) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 510645-01) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 254091-01) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |