| NPI | 1447960877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266154) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35073) | |
| 163W00000X Registered Nurse (Licence: NY 899110) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-01-30 |