NPI | 1447522180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406388) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 643834) |
Enumeration Date | 2012-01-26 |
Last Update Date | 2025-01-12 |